Erica Dormer, INDEPENDENT PROVIDER

NPI #1124870241 in Willowick, Ohio

Provider Information

NPI Number: 1124870241
Entity Type: Individual
Name: Erica Dormer, INDEPENDENT PROVIDER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Credential: INDEPENDENT PROVIDER
Enumeration Date: Apr 2, 2024
Last Updated: Apr 2, 2024

Practice Location

Address: 29505 GREEN DR
City: Willowick
State: Ohio
ZIP Code: 44095-4713
Phone: (216) 904-8038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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